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Nutrition Lecture #1
                         Calculating Calories, Planning Meals, and Tracking Intake
                                        By: Ashley Jones and Karman Meyer
                               Vanderbilt University Medical Center Dietetic Interns, ’09-’10

Thursday, June 3, 2010
Myth Busters!
              T/F – Eating a late dinner causes more of the calories in your
              meal to be stored as fat.

              T/F – Carbohydrates turn to fat in your body, so you should
              keep the level as low as possible.

              T/F – Organic and all natural foods will help to speed up my
              weight loss.

              T/F – In order to burn fat, all fat should be cut out from the
              diet.

Thursday, June 3, 2010
Myth Busters!
              T/F – Eating a late dinner causes more of the calories in your meal to be stored as
              fat.
                     A calorie is a calorie no matter when you eat it!

              T/F – Carbohydrates turn to fat in your body, so you should keep the level as low
              as possible.
                     Excess levels of carbs, fat, and protein are all stored as fat in they body, but adequate amounts are
                     needed in the body.

              T/F – Organic and all natural foods will help to speed up my weight loss.
                     Organic and natural foods have the same nutrient composition as conventional foods.

              T/F – In order to burn fat, all fat should be cut out from the diet.
                     Fat is an essential nutrient that is needed for brain function, cell growth, etc.



Thursday, June 3, 2010
Learning Objectives


              List one reason why maintaining a healthy weight is
              important

              State how many calories are in 1 pound of fat

              Name the three macronutrients

              List one resource for tracking your intake




Thursday, June 3, 2010
Road Map

              Why Worry About Weight?

              Energy Balance--Calories In and Calories Out

              Calculating Needs

              Nutrition 101

              Meal Planning

              Tracking Your Intake


Thursday, June 3, 2010
Why Worry About Weight?

            High Blood Pressure

            Diabetes

            Personal Reasons (energy
            level, fitting into clothes,
            appearance, etc.)

            Other Reasons?



Thursday, June 3, 2010
Where Are Your Trouble Spots?




Thursday, June 3, 2010
king?
                Nigh     t Snac




          Where Are Your Trouble Spots?




Thursday, June 3, 2010
king?
                Nigh     t Snac




          Where Are Your Trouble Spots?


                                       Eating O
                                                  ut ?


Thursday, June 3, 2010
king?
                Nigh     t Snac                          Mindless
                                                                  Eating?




          Where Are Your Trouble Spots?


                                       Eating O
                                                  ut ?


Thursday, June 3, 2010
king?
                Nigh     t Snac                          Mindless
                                                                  Eating?




          Where Are Your Trouble Spots?
             Portio
                   n Size
                              s?

                                       Eating O
                                                  ut ?


Thursday, June 3, 2010
king?
                Nigh     t Snac                              Mindless
                                                                      Eating?
                                       High Fat Foods?


          Where Are Your Trouble Spots?
             Portio
                   n Size
                              s?

                                           Eating O
                                                      ut ?


Thursday, June 3, 2010
king?
                Nigh     t Snac                              Mindless
                                                                      Eating?
                                       High Fat Foods?


          Where Are Your Trouble Spots?
             Portio                                                            th?
                   n Size                                                et Too
                              s?                                    we
                                                                   S

                                           Eating O
                                                      ut ?


Thursday, June 3, 2010
king?
                Nigh     t Snac                              Mindless
                                                                      Eating?
                                       High Fat Foods?


          Where Are Your Trouble Spots?
                                       We ekend Eating?
             Portio                                                            th?
                   n Size                                                et Too
                              s?                                    we
                                                                   S

                                           Eating O
                                                      ut ?


Thursday, June 3, 2010
Fast Food
                                                   s?

                               king?
                Nigh     t Snac                              Mindless
                                                                      Eating?
                                       High Fat Foods?


          Where Are Your Trouble Spots?
                                       We ekend Eating?
             Portio                                                            th?
                   n Size                                                et Too
                              s?                                    we
                                                                   S

                                           Eating O
                                                      ut ?


Thursday, June 3, 2010
Energy Balance

              Energy balance describes balancing the calories you take in
              through food with the calories you “put out” through exercise

              To gain weight: calories in greater than calories out

              To maintain weight: calories in equal to calories out

              To LOSE weight: calories in less than calories out

              YOU can decide how you to balance your calories--how many
              calories to intake and output


Thursday, June 3, 2010
Energy Balance
                 It’s all about BALANCING calories in and calories out




                         You would have to walk for 150 minutes to
                           burn off the 540 calories in 1 Big Mac
Thursday, June 3, 2010
Energy Balance

              1 pound of fat = 3500 calories

              3500 calories = 500 calorie
              reduction/day

              To lose 1-2 pounds/week
              recommend cutting calories
              and increasing exercise to
              equal a decrease of 500 to 1000
              calories


Thursday, June 3, 2010
Calculating Needs

              Energy needs are VERY individualized

              Dependent on your height, weight, age, gender, amount of
              lean muscle mass, activity factor, etc.



                                                verses




                         ~10,000 calories/day            ~2,200 calories/day

Thursday, June 3, 2010
Calculating Needs
              Multiple ways to calculate calorie needs

              For weight loss it is best to subtract calories from your
              average calorie intake

              HOMEWORK!

                    Keep 3-day diary or log of ALL foods and beverages
                    consumed

                    Average all 3 days together

                    Subtract 500 calories from average for weight loss
Thursday, June 3, 2010
Calculating Needs
              Example

                    Intake of 2200, 2400, and 2100 calories over 3 days

                    Average of 3 days = 2200 calories/day

                    2200 calories- 500 calories (for weight loss) = 1700 calories/
                    day

              Note: Take into consideration amount of physical activity per
              day...if plan to greatly change physical activity subtract
              250-300 calories instead

Thursday, June 3, 2010
Nutrition 101
              Carbohydrates

                    Fuel for cells--main energy source

                    Four calories per
                    gram

                    Choose fiber rich whole
                    grains...aim to make 1/2 your
                    grains whole

                         Oatmeal, whole-wheat breads
                         and pastas, brown rice,
                         popcorn (low fat!), etc.


Thursday, June 3, 2010
Nutrition 101
                                Protein

                                  Lean muscle and red blood cell
                                  production

                                  Provides iron and other vitamins
                                  and minerals

                                  Four calories per gram

                                  Choose lean sources over high fat
                                  sources

                                     Fish, poultry, pork, lean meats,
                                     beans, etc.


Thursday, June 3, 2010
Nutrition 101
           Fat

                 Needed for production of certain cells
                 and hormones

                 Aids in absorption of vitamins A,D,E,
                 &K

                 Nine calories per gram

                 Choose mono- and polyunsatured
                 sources

                         Olive oil, canola oil, salmon,
                         peanut butter, flaxseed, etc.

Thursday, June 3, 2010
Meal Planning
        Keep meals between the following calorie ranges

              Breakfast
                   300-400 calories

              Lunch
                   400-500 calories

              Dinner
                   400-500 calories

              Snacks
                   Less than 200 calories

Thursday, June 3, 2010
Meal Planning
                                            Breakfast Ideas
                               • 1 cup Oatmeal topped with chopped
                                  nuts and/or dried fruit

                               • 1 cup yogurt parfait with fruit and
                                  granola

                               • 1 scrambled egg with toast and fruit

                               • 2 Tbsp. peanut butter and 1 banana
                                  on whole-wheat toast

                               • Canadian bacon and 1 scrambled egg
                                  white on whole-wheat English
                                  muffin

Thursday, June 3, 2010
Meal Planning
                         Lunch/Dinner Ideas
         • 3 oz. grilled chicken with tomatoes,
                asparagus, and ½ cup spaghetti

         • 3 oz. baked tilapia with sauteed
                sugar snap peas and whole-wheat
                dinner roll

         • 3 oz. lean-ground turkey burger on
                whole-wheat bun with lettuce,
                tomato, and light mayonnaise

         • Grilled shrimp kabob with peppers,
                onions, and pineapple served with
                mixed green salad

Thursday, June 3, 2010
Meal Planning
              The key to successful, healthy meals is starting with a plan for
              the week

                   Plan a list of meals for the week

                   Make a list of all items needed for the meals that week

                   Go to the store and purchase only the items on the list

                         Prevents impulse purchases, which are usually
                         unhealthy foods


Thursday, June 3, 2010
Tracking Your Intake

              A six-month study involving 1,700 participants trying to lose
              weight found that the most successful weight-loss method
              was keeping a food journal

              Individuals who kept a food journal for 6-7 days a week lost
              twice as much weight as those who did not keep a record of
              foods they ate




Thursday, June 3, 2010
Tracking Your Intake

             MyPyramid.gov

                  MyPyramid Plan

                  MyPyramid
                  Tracker

                  Menu Planner




Thursday, June 3, 2010
Setting Goals
           Make a SMART goal for the
           week:

                 Specific

                 Measurable

                 Attainable

                 Realistic

                 Time Sensitive

           Example: I will eat 2 servings of
           vegetables every day this week
Thursday, June 3, 2010
Learning Objectives


              List one reason why maintaining a healthy weight is
              important

              State how many calories are in 1 pound of fat

              Name the three macronutrients

              List one resource for tracking your intake




Thursday, June 3, 2010
Questions?




Thursday, June 3, 2010

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Weight Management Workshop

  • 1. Nutrition Lecture #1 Calculating Calories, Planning Meals, and Tracking Intake By: Ashley Jones and Karman Meyer Vanderbilt University Medical Center Dietetic Interns, ’09-’10 Thursday, June 3, 2010
  • 2. Myth Busters! T/F – Eating a late dinner causes more of the calories in your meal to be stored as fat. T/F – Carbohydrates turn to fat in your body, so you should keep the level as low as possible. T/F – Organic and all natural foods will help to speed up my weight loss. T/F – In order to burn fat, all fat should be cut out from the diet. Thursday, June 3, 2010
  • 3. Myth Busters! T/F – Eating a late dinner causes more of the calories in your meal to be stored as fat. A calorie is a calorie no matter when you eat it! T/F – Carbohydrates turn to fat in your body, so you should keep the level as low as possible. Excess levels of carbs, fat, and protein are all stored as fat in they body, but adequate amounts are needed in the body. T/F – Organic and all natural foods will help to speed up my weight loss. Organic and natural foods have the same nutrient composition as conventional foods. T/F – In order to burn fat, all fat should be cut out from the diet. Fat is an essential nutrient that is needed for brain function, cell growth, etc. Thursday, June 3, 2010
  • 4. Learning Objectives List one reason why maintaining a healthy weight is important State how many calories are in 1 pound of fat Name the three macronutrients List one resource for tracking your intake Thursday, June 3, 2010
  • 5. Road Map Why Worry About Weight? Energy Balance--Calories In and Calories Out Calculating Needs Nutrition 101 Meal Planning Tracking Your Intake Thursday, June 3, 2010
  • 6. Why Worry About Weight? High Blood Pressure Diabetes Personal Reasons (energy level, fitting into clothes, appearance, etc.) Other Reasons? Thursday, June 3, 2010
  • 7. Where Are Your Trouble Spots? Thursday, June 3, 2010
  • 8. king? Nigh t Snac Where Are Your Trouble Spots? Thursday, June 3, 2010
  • 9. king? Nigh t Snac Where Are Your Trouble Spots? Eating O ut ? Thursday, June 3, 2010
  • 10. king? Nigh t Snac Mindless Eating? Where Are Your Trouble Spots? Eating O ut ? Thursday, June 3, 2010
  • 11. king? Nigh t Snac Mindless Eating? Where Are Your Trouble Spots? Portio n Size s? Eating O ut ? Thursday, June 3, 2010
  • 12. king? Nigh t Snac Mindless Eating? High Fat Foods? Where Are Your Trouble Spots? Portio n Size s? Eating O ut ? Thursday, June 3, 2010
  • 13. king? Nigh t Snac Mindless Eating? High Fat Foods? Where Are Your Trouble Spots? Portio th? n Size et Too s? we S Eating O ut ? Thursday, June 3, 2010
  • 14. king? Nigh t Snac Mindless Eating? High Fat Foods? Where Are Your Trouble Spots? We ekend Eating? Portio th? n Size et Too s? we S Eating O ut ? Thursday, June 3, 2010
  • 15. Fast Food s? king? Nigh t Snac Mindless Eating? High Fat Foods? Where Are Your Trouble Spots? We ekend Eating? Portio th? n Size et Too s? we S Eating O ut ? Thursday, June 3, 2010
  • 16. Energy Balance Energy balance describes balancing the calories you take in through food with the calories you “put out” through exercise To gain weight: calories in greater than calories out To maintain weight: calories in equal to calories out To LOSE weight: calories in less than calories out YOU can decide how you to balance your calories--how many calories to intake and output Thursday, June 3, 2010
  • 17. Energy Balance It’s all about BALANCING calories in and calories out You would have to walk for 150 minutes to burn off the 540 calories in 1 Big Mac Thursday, June 3, 2010
  • 18. Energy Balance 1 pound of fat = 3500 calories 3500 calories = 500 calorie reduction/day To lose 1-2 pounds/week recommend cutting calories and increasing exercise to equal a decrease of 500 to 1000 calories Thursday, June 3, 2010
  • 19. Calculating Needs Energy needs are VERY individualized Dependent on your height, weight, age, gender, amount of lean muscle mass, activity factor, etc. verses ~10,000 calories/day ~2,200 calories/day Thursday, June 3, 2010
  • 20. Calculating Needs Multiple ways to calculate calorie needs For weight loss it is best to subtract calories from your average calorie intake HOMEWORK! Keep 3-day diary or log of ALL foods and beverages consumed Average all 3 days together Subtract 500 calories from average for weight loss Thursday, June 3, 2010
  • 21. Calculating Needs Example Intake of 2200, 2400, and 2100 calories over 3 days Average of 3 days = 2200 calories/day 2200 calories- 500 calories (for weight loss) = 1700 calories/ day Note: Take into consideration amount of physical activity per day...if plan to greatly change physical activity subtract 250-300 calories instead Thursday, June 3, 2010
  • 22. Nutrition 101 Carbohydrates Fuel for cells--main energy source Four calories per gram Choose fiber rich whole grains...aim to make 1/2 your grains whole Oatmeal, whole-wheat breads and pastas, brown rice, popcorn (low fat!), etc. Thursday, June 3, 2010
  • 23. Nutrition 101 Protein Lean muscle and red blood cell production Provides iron and other vitamins and minerals Four calories per gram Choose lean sources over high fat sources Fish, poultry, pork, lean meats, beans, etc. Thursday, June 3, 2010
  • 24. Nutrition 101 Fat Needed for production of certain cells and hormones Aids in absorption of vitamins A,D,E, &K Nine calories per gram Choose mono- and polyunsatured sources Olive oil, canola oil, salmon, peanut butter, flaxseed, etc. Thursday, June 3, 2010
  • 25. Meal Planning Keep meals between the following calorie ranges Breakfast 300-400 calories Lunch 400-500 calories Dinner 400-500 calories Snacks Less than 200 calories Thursday, June 3, 2010
  • 26. Meal Planning Breakfast Ideas • 1 cup Oatmeal topped with chopped nuts and/or dried fruit • 1 cup yogurt parfait with fruit and granola • 1 scrambled egg with toast and fruit • 2 Tbsp. peanut butter and 1 banana on whole-wheat toast • Canadian bacon and 1 scrambled egg white on whole-wheat English muffin Thursday, June 3, 2010
  • 27. Meal Planning Lunch/Dinner Ideas • 3 oz. grilled chicken with tomatoes, asparagus, and ½ cup spaghetti • 3 oz. baked tilapia with sauteed sugar snap peas and whole-wheat dinner roll • 3 oz. lean-ground turkey burger on whole-wheat bun with lettuce, tomato, and light mayonnaise • Grilled shrimp kabob with peppers, onions, and pineapple served with mixed green salad Thursday, June 3, 2010
  • 28. Meal Planning The key to successful, healthy meals is starting with a plan for the week Plan a list of meals for the week Make a list of all items needed for the meals that week Go to the store and purchase only the items on the list Prevents impulse purchases, which are usually unhealthy foods Thursday, June 3, 2010
  • 29. Tracking Your Intake A six-month study involving 1,700 participants trying to lose weight found that the most successful weight-loss method was keeping a food journal Individuals who kept a food journal for 6-7 days a week lost twice as much weight as those who did not keep a record of foods they ate Thursday, June 3, 2010
  • 30. Tracking Your Intake MyPyramid.gov MyPyramid Plan MyPyramid Tracker Menu Planner Thursday, June 3, 2010
  • 31. Setting Goals Make a SMART goal for the week: Specific Measurable Attainable Realistic Time Sensitive Example: I will eat 2 servings of vegetables every day this week Thursday, June 3, 2010
  • 32. Learning Objectives List one reason why maintaining a healthy weight is important State how many calories are in 1 pound of fat Name the three macronutrients List one resource for tracking your intake Thursday, June 3, 2010